DOJ lawsuits may be your road map to risk adjustment compliance. The growing prevalence of risk adjustment in healthcare has forged new processes in documentation practices that have resulted in many organizations adopting practices that bend the cast iron rules for ICD-10-CM coding. We are starting to see some of the long-term dangers of ambitiously ...
In CMS
Dec 14th, 2021
The January 1 compliance date is just around the corner, yet key elements of the NSA are still missing. In July, the U.S. Department of Health and Human Services (HHS), Labor, and Treasury, and the Office of Personnel Management issued the first interim final rule, or set of requirements, for the No Surprises Act (NSA) ...
Dec 7th, 2021
If you’re leaning toward pausing your vaccination requirement process, be ready to crank it back up on a dime, legal experts stress. After the Biden administration issued two COVID-19 vaccination regulations on Nov. 5 — one from the Centers for Medicare & Medicaid Services and one from the Occupational Safety and Health Administration — states ...
The second and final day of AUDITCON, AAPC’s virtual conference dedicated to the world of auditing, kicked off with attendees eager to learn more about the ins and outs of auditing. The chat wall was full of enthusiasm about the first day’s sessions and anticipation for more, with comments like “Yesterday was so informative, can’t ...
Oct 11th, 2021
Second interim final rule implements additional protections and addresses the independent dispute resolution process. On Sept. 30, 2021, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury (the Departments), along with the Office of Personnel Management (OPM), released an interim final rule (IFR) with comment period, ...